NPI 1134173321

J a K Enterprises INC

Organisation Durable Medical Equipment & Medical Supplies Peoria, IL

Practice location

Address: 4620 N University St, Peoria, IL 61614-5889
Phone: (309) 692-8222
Mailing address: 8309 N Knoxville Ave, Peoria, IL 61615-2170

Authorised official

Name: Diana J Hall
Title: President
Phone: (309) 693-9540

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Illinois →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Registry record

NPI: 1134173321
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 2 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.